مريض فشل قلب يأخذ فوروسيمايد يتصل بالعيادة: وزنه زاد من ٧٨٫٠ إلى ٧٩٫٨ كغ خلال يومين، وكاحلاه متورمان، وصار ينام على ثلاث مخدات. ما الرد المناسب؟

A heart-failure client taking furosemide phones the clinic: his weight rose from 78.0 to 79.8 kg in 2 days, his ankles are swollen and he now sleeps on three pillows. What is the best response?

1. The gain is probably dietary, so walk more and be more active this week
2. Just restrict fluids and recheck his weight after a full week
3. Take an extra furosemide dose on his own and reweigh in a week
4. Contact the provider today for review of fluid retention

Answer: D) Contact the provider today for review of fluid retention. A gain over 1–1.5 kg in a day or about 2 kg in a week, with oedema and orthopnoea, signals fluid overload and worsening heart failure that needs same-day provider review. Self-adjusting the dose is unsafe, and waiting a week delays treatment.